Non-Surgical Rhinoplasty (Nose Reshaping)

Rhinoplasty, also known as a “nose job” or nose reshaping, is the surgical modification of the shape of the nose. This procedure can be used for purely cosmetic changes, functional improvements, or both. For some people, very subtle changes are desired – and these patients may be candidates for non-surgical rhinoplasty. Some common rhinoplasty goals include removal of a bump (“dorsal hump”) on the bridge of the nose, changes to the shape of the nasal tip, and lifting a droopy or hanging tip. In non-surgical rhinoplasty, small, carefully planned injections of soft-tissue fillers are used to change the shape of the nose.

Non-surgical rhinoplasty is most often performed with Radiesse®. Radiesse® is made of biocompatible calcium hydroxyapatite – a natural component of bone and connective tissue. This filler is relatively firm and matches the strength and feel of the nasal tissues. Radiesse® lasts between 12 and 18 months in this area for most patients, depending on the individual patient’s unique anatomy and metabolism.Using subtle additions of filler, the overall contour of the nose can be dramatically improved. Common techniques include camouflage of a dorsal hump by placement of the filler material above and below the hump and lifting of a droopy nose by addition of filler at the base of the nose (where the nose meets the upper lip). In some cases, subtle changes of the tip shape can be achieved with filler.

As with any injectable treatment, Dr. Ransom strives to provide the most comfortable experience possible. This includes use of topical numbing creams, mixing numbing medicines into all types of injectable fillers, and providing icepacks after treatment.

Who is a candidate?

Anyone who desires subtle changes to the external contour of the nose may be a candidate for non-surgical cheek rhinoplasty. Non-surgical rhinoplasty may be performed as a stand-alone procedure, or combined with other aesthetic treatments such as Botox® injections or non-surgical chin-augmentation. Non-surgical rhinoplasty does not change the internal structure of the nose and cannot be used to make improvements in nasal breathing; patients interested in such changes should have a consultation for rhinoplasty surgery. The key to any facial enhancement is identifying your aesthetic goals and the most appropriate and comfortable way to achieve them – while still looking natural. Dr. Ransom will work closely with you throughout this process.

Frequently Asked Questions

Question: What happens to the fillers over time?

Answer: Soft tissue fillers are slowly broken down by the body over time. The duration of effect is dependent on the type of filler used. Dr. Ransom prefers to use longer-lasting and thicker fillers, like Radiesse®, for non-surgical rhinoplasty. This gives a more reliable effect and has a better match to the existing nasal tissues.

Question: If I decide later that I no longer like the non-surgical rhinoplasty, what can be done?

Answer: This depends on the type of filler used. Hyaluronic acid-based fillers (like Juvederm® and Perlane®)can be dissolved with small doses of an enzyme called hyaluronidase. For Raidesse®, the body slowly dissolves the filler material over time. There is not an enzyme to dissolve this product, but other techniques can be used to speed up the process.

Question: If I decide that I want a more permanent solution, what are my options?

Answer: If you have undergone a non-surgical rhinoplasty and like the results, but don’t want to have repeated treatments, there are more permanent options. This would be a rhinoplasty (“nose job” surgery). There are multiple approaches and techniques that can be used to change the shape and function of the nose. A detailed consultation with Dr. Ransom will help you decide on the best approach for you and your nose. During your consultation, computer imaging simulation can be used to show you how different changes may look on you. In all cases, Dr. Ransom seeks to improve the form and function of the nose, while maintaining a natural, non-surgical look.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

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Our Patient Reviews

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.

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All reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.

alan f.

When I had a basal cell cancer removed from my nose, the surgeon who did that procedure offered just to suture the surgery site himself, but gave me the option of seeing Dr. Ransom instead. Choosing that latter option was the best decision I could have ever made! Dr. Ransom was a true artist in closing a deep, dime--sized wound in the best possible way to minimize the scar in the exact middle of my face. He has since done an laser procedure to further smooth and remarkably reduce that scar. His skills are top-notch, and he and his fine staff are a pleasure to interact with. If you need plastic surgery, he is the man!

tina s.

Dr. Ransom is the best, I had five or six concerns, pictures, notes and he was so patient, my pictures were of lips I don't want, pictures of what I do want, all he had to do was show me before and after pictures of a lip lift and I knew I was in good hands, I thank God I found the best, maybe now my teeth will show when I smile. The procedure went fast, pain is managed with Extra StrengthTylenol and as instructed, cleaning the area with hydrogen peroxide and applying bacitracin ointment, I had to drop off the prescription for an antibiotic so I ensured beforehand I had a face mask. Dee and Vickie thank you for everything, totally worth the drive from Sacramento, you both are the most personable, patient and kind staff ever, and I have had too much experience with cosmetic procedures to know the difference you both are truly a wonderful reflection on Dr. Ransom :D I'm forever grateful I found my Michelangelo for all my cosmetic needs. (My procedure was in the Mill Valley office)

Zuly U.

Dr. Ransom is very knowledge answered all of my questions. He makes me feel comfortable about the products I use. The office team is also very professional and helpful. I love Ms. Dee specially.

lindsay m.

When I was 19 I made the decision to gauge my ears. After 4 years of having them I decided they weren't for me anymore. I was skeptical of the surgery because it seemed too good to be true. I did a lot of research and read a lot of reviews and I finally found Dr. Ransom. I made a consultation and it was very brief and informative and I decided to go on with the surgery. A month later I was back in the office to get my ears sewn up. It was so quick, so painless, and Dr Ransom and his staff made me feel really safe and comfortable. The surgery went so well. All of my friends have said that they can barely tell I had surgery and the only reason they can tell is because they know that I had the surgery. I just got my ears repierced yesterday and they literally look completely normal. I would recommend Dr. Ransom to anyone who needed a plastic surgeon. This is a really great, and friendly place. It may be a little bit expensive but you get what you pay for and its worth it to spend more money on procedures like these. I am so happy with my experience here.

rose v.

Dr. Ransom in SFO, Is hands down the coolest , awesome, amazing, down to earth Dr. I have ever known. With Dr. Ransom it's about his patients and what they want and how he can best serve and accommodate their needs. Dr. Ransom is a perfectionist and is always proud of his work. He is confident in his abilities. He is a great communicator and always has a smile on his face. I would recommend Dr. Ransome for your cosmetic needs. You'll be glad you did!! Authentically Rose

Christina A.

Amazing, trustworthy, and attentive doctor. I had a big keloid on my ear removed from Dr. Ransom and anyone who's keloid prone knows that there's a high chance of the keloid returning after surgical removal. My keloid NEVER returned and my ear healed beautifully. It's almost as if the keloid was never even there to begin with. His assistant Dee Roby is also an amazing and wonderful person. Dee and Dr. Ransom made the entire experience delightful and I never thought in years I would be able to put my hair up again without feeling so insecure. He has changed my life for the better and I'm truly thankful to have met them both. It's been about 2 years since my surgery and I still receive phone calls from Dee and Dr Ransom just to say hello and to see how I am doing. They are wonderful individuals and trust me -you will not be disappointed!

David W.

Same day, in-and-out procedure with some follow up. He made sure I was comfortable and informed at each step. Glad I saw him and would again if needed.

danita h.

I went in for a consultation with Dr. Ransom and he was very patient with all of my questions. I read many positive reviews about him around the web before meeting with him and felt at ease the entire time i was there. He has a nice clean office and his staff were also very nice.

If I could give Dr Ransom 10 stars I would. He is hands down the best plastic surgeon in the Bay Area and did a fantastic job with my rhinoplasty and injections. I won’t let anyone else touch my face and I get compliments on my nose as it looks natural - I’m so happy with it. Dr. Ransom is incredibly precise, talented and treats all his patients with respect, kindness and professionalism. His team is highly efficient, responsive and wonderful to communicate with. This review is way overdue but I’m beyond grateful for having Dr Ransom as my Doctor. Thank you!

Keith B.

The decision to have a facelift did not come easy for me and I conducted an exhausting amount of research to ensure I placed myself in the care of the best, which pointed me directly to Dr. Ransom.
My consultation was thorough and Dr. Ransom took the time to answer my questions, discuss my options and partnered with me on the best solution.
Dr. Ransom and his entire team was outstanding at every touchpoint in my experience (before, during and after). An amazing experience delivered by an amazingly talented Doctor and his amazing team. Thank you!

Susan L.

Dr. Evan Ransom is a brilliant facial plastic surgeon. If you want THE BEST look no further.
I went to him for a mini facelift, a rhinoplasty, ThermiTight on my neck, and amazingly he was able to get rid of some deep scaring under my eyes. He has easily taken 20 years off my face and I am thrilled! My face now reflects my inner self. The real me.
Through all of these procedures I had no pain, no bruising and no swelling whatsoever. (Not even with my rhinoplasty.) And although he prescribed pain medicine for me I didn't even need a Tylenol. Perhaps because Dr. Ransom has a precise and gentle touch. My recovery was fast and easy.

Eileen L.

I had an excellent experience with Dr. Ransom and all of his staff. He explained the procedure and answered all my questions and doubts before moving forward. Him and his staff walked me through each step and made sure I was always comfortable. I highly recommend Dr. Ransom and his practice to friends.